CTR060124-Debarrment_Checks_1.27.23.pdf

PDF 970 KB Posted

Attached to
Master Agreement AZ|CTR060124
Contract number
CTR060124
Issued by
Arizona

About this file

These documents are corporate registration and verification records for Fidelity National Information Services, Inc. (FIS), a foreign for-profit corporation originally incorporated in Georgia on 5/27/2011. The company is registered as an active entity with the Arizona Corporations Commission, with a statutory agent in Phoenix, Arizona (CT Corporation System). The principal office is located in Lawrenceville, Georgia, and the company is classified as a holding company. Key registration details include an Entity ID of F16875275, a perpetual business life period, and the most recent annual report filed in 2022.

The documents demonstrate FIS's active registration for government contracting purposes, with a Unique Entity ID of DSFBQCXCTRK1 and a CAGE Code of 4JRK7. The company's registration purpose is listed as "All Awards," indicating broad eligibility for federal government contracts. Additional verification checks, including an Office of Inspector General (OIG) exclusions database search, show no current exclusions for the company. The SAM.gov registration was set to expire on February 3, 2023, with the physical address listed as 601 Riverside Ave, Jacksonville, FL 32204. The company's leadership includes a board of directors and executive officers such as Stephanie L. Ferris (President/CEO), with recent updates to leadership roles in 2022.

View the file

Other files

File Type Posted
Attachment 02 and 03 Written Inquiry Responses.docx DOCX document
Attachment 07 WSEA Waivers.docx DOCX document
Attachment 11 Alaska DHSS Sample Security Authorization.pdf PDF
Attachment 12 Written Inquiry Responses.docx DOCX document
CTR060124_FIS_WSEA_EBT_Services_Amendment_01-FE.pdf PDF
State of Arizona.pdf PDF
Attachment 01 Request for Proposals Signature Page v.2.pdf PDF
Attachment 02 SNAP Cash Requirements v.2.docx DOCX document
Attachment 04 and 05 Written Inquiry Responses.docx DOCX document
Attachment 09 SNAP Cash Interfaces.pdf PDF
CTR060124_FIS_WSEA_EBT_Services_Amendment_2_-_FE.pdf PDF
FIS Waiver of Subrogation GL.pdf PDF
US GCL Additional Insured.pdf PDF
1 WSEA EBT Services RFP v.8.4.docx DOCX document
1 WSEA RFP Written Inquiry Responses.docx DOCX document
Attachment 04 WIC Requirements v.2.docx DOCX document
Attachment 08 State Contract Terms and Conditions v.2.pdf PDF
Attachment 08 Written Inquiry Responses - Idaho.docx DOCX document
Attachment 10 WIC Interface Configurations.pdf PDF
Attachment 12 WSEA EBT Pricing Schedules v.2.docx DOCX document
Attachment 13 Federal Procurement Provisions.docx DOCX document
CTR060124-Contract_Documents.pdf PDF
CTR060124_FISParticipatingAddendum_WSEAEBTServices_Amendment4.pdf PDF
SPO_Approval_to_Request_to_Enter_Co-op_and_Contract_Beyond_5_years_-_WSEA_EBT_7..pdf PDF
CTR060124_COI_2026-2-1_Cyber__2026-4-1_CGL_AL_WC.pdf PDF
Addendum 1 Written Inquiries Responses re WSEA Supplemental Call Center Statistics Tables.docx DOCX document
Attachment 03 SNAP Cash Written Responses.docx DOCX document
Attachment 05 WIC Written Responses v.2.docx DOCX document
Attachment 06 ALERT AMA STARS and REDE file formats.pdf PDF
Attachment 08 Written Inquiry Responses.docx DOCX document
Attachment_A_-FIS_Cost_Proposal.pdf PDF
Attachment_B_-_FIS_Technical_Proposal.pdf PDF
CTR060124_A5_FE_4.14.25.pdf PDF
CTR060124_FIS_WSEA_EBT_Services_Amendment_3_-_FE.pdf PDF
FIS Waiver of Right to Recover WC.pdf PDF
Show all 35

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1/27/23, 2:38 PM Arizona Corporations Commission https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=F16875275 1/4

Entity Information Search Date and Time:

1/27/2023 2:38:06 PM

Entity Details

Entity Name:

FIDELITY NATIONAL INFORMATION SERVICES, INC.

Entity ID:

F16875275

Entity Type:

Foreign For-Profit (Business) Corporation

Entity Status:

Active

Formation Date:

5/27/2011

Reason for Status:

In Good Standing

Approval Date:

6/12/2018

Status Date:

7/12/2021

Original Incorporation Date:

5/27/2011

Life Period:

Perpetual

Business Type:

Holding company

Last Annual Report Filed:

Domicile State:

Georgia

Annual Report Due Date:

5/27/2023Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=F16875275 2/4

Title Name Attention Address Date of Taking Office

Last Updated

Director Ellen R.

Alemany

601 Riverside Avenue, JACKSONVILLE, FL, 32204, USA

6/16/2014 5/27/2019

Director Keith W.

Hughes

601 Riverside Avenue, JACKSONVILLE, FL, 32204, USA

8/21/2002 5/27/2019

Director Gary A.

Norcross

601 Riverside Avenue, JACKSONVILLE, FL, 32204, USA

5/30/2018 5/27/2019

Director Louise M.

Parent

601 Riverside Avenue, JACKSONVILLE, FL, 32204, USA

11/1/2017 5/27/2019

Director Brian T. Shea 601 Riverside Avenue, JACKSONVILLE, FL, 32204, USA

6/11/2018 5/27/2019

Years Due:

Original Publish Date:

Statutory Agent Information

Name:

C T CORPORATION SYSTEM

Appointed Status:

Active

Attention:

Address:

3800 N CENTRAL AVE SUITE 460 , PHOENIX, AZ 85012, USA

Agent Last Updated:

5/27/2022

E-mail:

Attention:

Mailing Address:

3800 N CENTRAL AVE SUITE 460 , PHOENIX, AZ 85012, USA

County:

Maricopa

Principal Information

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=F16875275 3/4

< Previous ... 1 2 3 ... Next > Page 1 of 3, records 1 to 5 of 12 Go to Page

Title Name Attention Address Date of Taking Office

Last Updated

Director James B.

Stallings

601 Riverside Avenue, JACKSONVILLE, FL, 32204, USA

4/2/2013 5/27/2019

President/CEO Stephanie L.

Ferris

601 Riverside Avenue, JACKSONVILLE, FL, 32204, USA

5/27/2022

Director Lisa A. Hook 601 Riverside Avenue, JACKSONVILLE, FL, 32204, USA

8/1/2019 7/18/2020

Director Gary L. Lauer 601 Riverside Avenue, JACKSONVILLE, FL, 32204, USA

8/1/2019 7/18/2020

Director Jeffrey E.

Stiefler

601 Riverside Avenue, JACKSONVILLE, FL, 32204, USA

8/1/2019 7/18/2020

Treasurer Virginia Anne Daughtrey

601 Riverside Avenue, JACKSONVILLE, FL, 32204, USA

5/27/2022

Secretary Charles Harrison Keller

601 Riverside Avenue, JACKSONVILLE, FL, 32204, USA

5/27/2022

Entity Known Place of Business

Attention:

Address:

CT CORPORATION SYSTEM 3800 N CENTRAL AVE SUITE 460, PHOENIX, AZ, 85012, USA

County:

Maricopa

Last Updated:

5/27/2022

Entity Principal Office Address

Attention:

Address:

289 S. Culver St., LAWRENCEVILLE, GA, 30046, USA

County:

Gwinnett

Last Updated:

5/27/2022

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Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts) javascript:$xhtml.paging(2) javascript:$xhtml.paging(3) javascript:$xhtml.paging(2) https://ecorp.azcc.gov/PublicBusinessSearch/PublicBusinessInfo?entityNumber=F16875275 4/4

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

1/27/23, 2:39 PM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1

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1/27/23, 2:47 PM SAM.gov | Search https://sam.gov/search/?page=1&pageSize=25&sort=-modifiedDate&sfm%5BsimpleSearch%5D%5BkeywordRadio%5D=EXACT&sfm%5BsimpleSear… 1/3

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Active✔ https://sam.gov/ https://www.fsd.gov/gsafsd_sp?id=kb_article_view&sysparm_article=KB0045403 https://sam.gov/search/?page=1&pageSize=25&sort=-modifiedDate&sfm%5BsimpleSearch%5D%5BkeywordRadio%5D=EXACT&sfm%5BsimpleSear… 2/3

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Fidelity National Information Services, Inc. Active Registration

Unique Entity ID

DSFBQCXCTRK1

CAGE Code

4JRK7

Physical Address 601 Riverside Ave, Jacksonville, FL 32204 USA

Entity

Expiration Date Feb 3, 2023

Purpose of Registration All Awards

Our Website

Our Partners

Policies

Customer Service

General Services Administration This is a U.S. General Services Administration Federal Government computer system that is "FOR OFFICIAL USE ONLY." This system is subject to https://sam.gov/entity/DSFBQCXCTRK1/coreData?status=active&emrKeyValue=1182054~1641302618539282 https://www.gsa.gov/ https://sam.gov/search/?page=1&pageSize=25&sort=-modifiedDate&sfm%5BsimpleSearch%5D%5BkeywordRadio%5D=EXACT&sfm%5BsimpleSear… 3/3 monitoring. Individuals found performing unauthorized activities are subject to disciplinary action including criminal prosecution.

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Arizona Corporations Commission 1.27.23 Results
OIG Search Results FIS 1.27.23 Results
SAM.gov _1.27.23

File details come from the government source that posted it. Updated .